Well, had my first follow up appt at Fox Chase today. Overall, it was not encouraging.
PSA came back at 6.0. That's a 10% drop in 5.5 months. Expected drop is usually between 25-75% at this point on average, though the doc did say that the PSA test is one moment in time, and can vary a lot for many different reasons.
Doc then attempted a DRE and I about
jumped through the ceiling, a LOT of discomfort - first time that has ever happened. He indicated my prostate was very inflamed and I could have a prostate infection which could explain the elevated PSA this far out, so we are going to try a round of antibiotics. He also wants me back on Flomax and Aleve for the time being to help reduce inflammation. Another PSA in 90 days. Overall, the doc indicated that the next 12 months will tell the tale. If a year from now PSA still hasn't dropped significantly, or if it rises in the interim, we'll have to look at next steps. Fingers crossed and trying to stay positive for now.
Warm Regards-CJ-age 44
Dx 11/13@42YO - PSA 5.8, -DRE, GS6, MPMRI G-Bx@JH - 1/12 cores+@<5% - AS started
11/14@43YO - NIH T3 ERC-MPMRI, PSA 5.84, PSA-D 0.127
5/15@43YO - Bx, -DRE, PSA 6.41, 6/18 cores+, unilateral all G6@<5-75%
2/17 & 2/24/16 - HDB-m@FCCC, PSA 6.6, stage T1C, initial follow up appt@FCCC 6/16/16My Story